ABSTRACT
Stomas are encountered by nurses in many different fields and may be newly formed or many years old. Caring for ostomists can be problematic, particularly if complications occur. One of the more common problems for ostomists is excoriated peristomal skin. Sore skin can occur for a number of reasons and the cause can be an indicator for the therapy required. At times the treatment can be simple but often the skills of a stoma specialist nurse are required. This article focuses on some of the more commonly encountered ostomy problems that nurses may be faced with. The potential problems are described and potential treatment options are offered.
Subject(s)
Ostomy/nursing , Skin Care , Skin Diseases/prevention & control , Surgical Stomas/adverse effects , Dermatitis/etiology , Dermatitis/nursing , Dermatitis/prevention & control , Humans , Skin Diseases/etiology , Skin Diseases/nursingABSTRACT
Approximately 10000 new colostomies are formed each year (IMS, 2006), most of which will be permanent. There is currently a wide range of colostomy products available, and new appliances are constantly coming onto the Drug Tariff. While this gives colostomates greater choice and ensures that their various needs are met, it can make the selection of an appropriate appliance difficult. This article discusses the merits of, and indications for, the one- and two-piece colostomy appliances currently available in the UK. It gives a brief overview of the anatomy and physiology of the gastrointestinal tract in relation to colostomy formation, and outlines the more common types of operation that may result in the formation of a colostomy.
Subject(s)
Colostomy/instrumentation , Colostomy/methods , Drainage/instrumentation , Therapeutic Irrigation/instrumentation , Colon/anatomy & histology , Colon/physiology , Colon/surgery , Colostomy/nursing , Drainage/methods , Drainage/nursing , Equipment Design , Humans , Patient Selection , Skin Care/instrumentation , Skin Care/methods , Skin Care/nursing , Therapeutic Irrigation/methods , Therapeutic Irrigation/nursing , United KingdomABSTRACT
Intestinal failure and a high faecal output from a stoma or fistula are rare gastrointestinal complications. Intestinal failure occurs when the intestine fails to absorb sufficient fluids and nutrients to maintain life, and can result from bowel resection or malabsorption. The management of these conditions raises many issues which nurses caring for affected patients need to consider. This article will discuss those relating to feeding, appliances and medication. Two methods of feeding that can be useful in patients with intestinal failure, namely parenteral nutrition (intravenous feeding) and fistuloclysis (feeding via an intestinal fistula), will be explored. Finally, a short case study will be presented to highlight the effects of some of these interventions and the problems that they can cause for patients.
Subject(s)
Cutaneous Fistula/nursing , Ileostomy/nursing , Intestinal Diseases/nursing , Intestinal Fistula/nursing , Parenteral Nutrition/nursing , Surgical Stomas , Feces , Humans , Intestinal Absorption/physiology , Intestinal Diseases/physiopathologyABSTRACT
This article aims to give the reader a brief overview of recent developments in appliances for people with an ileostomy. After a brief background, the latest products that have been introduced to the market place will be discussed.
Subject(s)
Colonic Pouches , Equipment Design , Humans , Ileostomy/nursingABSTRACT
This article provides an overview of the recent developments in appliances for people with a urostomy. Following a short background, the products that may be useful for this patient group are discussed.
Subject(s)
Surgical Stomas , Ureterostomy/instrumentation , Urinary Reservoirs, Continent/trends , Equipment Design , HumansABSTRACT
This article gives the reader an overview of recent developments in appliances for people with a colostomy. After a brief background, the various products that have been brought onto the market in recent years are discussed.
Subject(s)
Colonic Pouches/trends , Colostomy/instrumentation , Colostomy/nursing , Community Health Nursing/methods , Equipment Design , Filtration/instrumentation , Humans , Medical Waste Disposal/methodsABSTRACT
Finding the right drainable pouch can be difficult for the person with an ileostomy. There is an extensive range of appliances available on prescription that offer a variety of features and benefits. Welland Medical has introduced a new one-piece drainable pouch that has a secure integral locking device on the outlet. This new pouch also incorporates a unique Dual-Carb filter which combines modified and unmodified carbon to help fight the various odour types that an ileostomy can produce.
